CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Great Plains Health

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $142
Cash Discount Price: $651
vs. Medicare Baseline: 1.33x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Great Plains Health is $142. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $651. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.33x the Medicare baseline. Located in 601 West Leota St, North Platte, NE.

Cash / Self-Pay

$651

Average discount available for prompt cash payment at this facility.

Insurance Median

$142

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $651 (609%)

Insurance Median: $142 (133%)

Cash: $651 (609% of Medicare)

Ins. Median: $142 (133% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Nebraska Total Care	$40 - $115	37%
Molina	$44 - $126	41%
Midwest Network Alliance	$77 - $1,761	72%
Blue Cross Blue Shield	$80 - $1,788	75%
Ambetter / Centene	$86 - $524	81%
Medica	$100 - $1,858	94%
Midlands Choice	$136 - $1,879	127%
Oscar Health	$139 - $1,879	130%
Coventry	$140 - $1,919	131%
Geha	$140 - $1,899	131%
Mutual Of Omaha	$142 - $1,919	133%
UnitedHealthcare	$167 - $1,919	156%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $651.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Great Plains Health is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.